Johns Hopkins School of Nursing Baltimore MD USA.
Division of Cardiology and Department of Global Health University of Washington Seattle WA USA.
J Am Heart Assoc. 2024 Jan 16;13(2):e031237. doi: 10.1161/JAHA.123.031237.
Cardiovascular diseases (CVDs) remain the leading cause of death and disability worldwide. Digital health technologies are important public health interventions for addressing the burden of cardiovascular disease. In this article, we discuss the importance of translating digital innovations in research-funded projects to low-resource settings globally to advance global cardiovascular health equity. We also discuss current global cardiovascular health inequities and the digital health divide within and between countries. We present various considerations for translating digital innovations across different settings across the globe, including , a "bidirectional, co-constituted, and iterative exchange of ideas, resources, and innovations to address shared health challenges across diverse global settings." In this case, afferent reciprocal innovations may flow from high-income countries toward low- and middle-income countries, and efferent reciprocal innovations may be exported to high-income countries from low- and middle-income countries with adaptation. Finally, we discuss opportunities for bidirectional learning between local and global institutions and highlight examples of projects funded through the American Heart Association Health and Innovation Strategically Funded Research Network that have been adapted to lower-resource settings or have the potential to be adapted to lower-resource settings.
心血管疾病(CVDs)仍然是全球死亡和残疾的主要原因。数字健康技术是应对心血管疾病负担的重要公共卫生干预措施。在本文中,我们讨论了将研究资助项目中的数字创新转化为全球资源匮乏地区的重要性,以促进全球心血管健康公平。我们还讨论了当前全球心血管健康不平等以及国家内部和国家之间的数字健康鸿沟。我们提出了在全球不同环境中翻译数字创新的各种考虑因素,包括“双向、共同构成和迭代的思想、资源和创新交流,以解决不同全球环境中的共同健康挑战”。在这种情况下,传入的互惠创新可能会从高收入国家流向低收入和中等收入国家,而传出的互惠创新可能会从低收入和中等收入国家适应后出口到高收入国家。最后,我们讨论了本地和全球机构之间双向学习的机会,并强调了通过美国心脏协会健康和创新战略资助研究网络资助的项目的例子,这些项目已经适应了资源较少的环境,或者有可能适应资源较少的环境。